Healthcare Provider Details

I. General information

NPI: 1346801867
Provider Name (Legal Business Name): JRAINTERNATIONALLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 ROUSH DR
INDIANA PA
15701-1447
US

IV. Provider business mailing address

74 ROUSH DR
INDIANA PA
15701-1447
US

V. Phone/Fax

Practice location:
  • Phone: 724-801-7425
  • Fax: 412-560-0606
Mailing address:
  • Phone: 724-801-7425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS TYWANDA REESE DIXON
Title or Position: CEO OWNER
Credential:
Phone: 724-801-7425